Two bills are making their way through the Alaska state Senate with support from lawmakers who say Medicaid fraud is contributing to the state's $4 billion deficit, according to KTVA.com.
More than a dozen organizations submitted amicus briefs to the Supreme Court last week, imploring the court to overturn a False Claims Act decision that relies on a broach interpretation of "implied certification," according to case updates on SCOTUSblog.
A prominent physician and former CEO of an Oregon health system says he was fired by the governing board last year for suggesting the provider self-report $10 million in improper Medicare claims, according to The Oregonian,
Stark Law litigation is becoming a primary concern for healthcare providers following recent high-priced settlements involving physician compensation agreements, according to a report by Bloomberg BNA.
Last year was a terrible, horrible, no good, very bad year for PharMerica Corp., the second largest pharmacy operator in the country that ended up spending $43.25 million to resolve multiple False Claims Act allegations from the federal government. In the span of 12 months, the company negotiated multi-million dollar settlements and entered into another corporate integrity agreement for accepting kickbacks and illegally dispensing drugs.
The nation's largest rehab provider, which specializes in caring for skilled nursing facility residents, will pay $125 million to settle claims the company provided medically unnecessary therapy services, according to the Department of Justice.
With fewer False Claims Act recoveries, some might say 2015 was a down year for federal fraud enforcement. But attorneys across the country say federal policy changes and FCA trends will keep fraud concerns high on the government's radar in the coming year.
Memorial Health, Inc. will pay $9.8 million to settle False Claims Act allegations in the largest civil healthcare fraud recovery ever recorded by the U.S. Attorney's Office for the Southern District of Georgia.
Last week, the Department of Justice released its annual report on False Claims Act recoveries in fiscal year 2015. Considering last year's historic $5.7 billion total, it was a little surprising--at least initially--to see FCA recoveries had dropped 40 percent. But there are a few explanations for the decline. Most importantly, it appears the government is struggling to keep pace with the flood of whistleblower claims, but recent announcements indicate the feds are in the middle of regrouping and could be joining up with whistleblowers with even more ferocity.
The U.S. Supreme Court has agreed to hear a case that will determine whether Medicaid claims can be considered false if a provider does not adhere to "implied" program requirements, according to Courthouse News Services.